NPI | 1578994687 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY BEST JOHNSON President, Clinical Director 804-901-5628 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005501) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001304) |
Enumeration Date | 2013-11-29 |
Last Update Date | 2013-12-16 |